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Individual

DR. DANIEL TANBAKUCHI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
334 TOWN CENTER AVE, BIG SKY, MT 59716
(406) 995-6995
Mailing address
915 HIGHLAND BLVD, BOZEMAN, MT 59715-6902
(406) 414-5000

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
139077
MT
207Q00000X
Family Medicine Physician
5151014941
MI

Other

Enumeration date
06/07/2021
Last updated
04/09/2025
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